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Snake bite is a common and neglected problem resulting in a large global mortality and morbidity per year. In India alone, an estimated 45,900 deaths occur per annum. The outlined case of suspected Russell’s Viper ( Daboia russelii) envenomation occurred in rural West Bengal. The case was misdiagnosed on two occasions resulting in a substantial delay in antivenom therapy. The resultant delay contributed to a significant morbidity and prolonged hospital admission. The case report illustrates some practical difficulties faced by clinicians pertaining to diagnosis, complications and resource limitations. These areas are discussed with a view to improving awareness and management. Simple practical tools are included to assist a clinician faced with snake bites in South Asia. Keywords: Snake-bite, Russell’s Viper, diagnostic delay, complications

CHALLENGES IN DIAGNOSIS AND MANAGEMENT OF SNAKE BITES IN RESOURCE POOR SETTINGS: A CASE REPORT OF SUSPECTED RUSSELL’S VIPER ENVENOMATION